Revista medica de Chile最新文献_第9页

[A Paradigm Shift in Undergraduate Medical Education: Fostering Compassionate and Empathetic Communication Skills]. [医学本科教育的范式转变：培养富有同情心和同理心的沟通技能]。

Revista medica de Chile Pub Date : 2023-11-01 DOI: 10.4067/s0034-98872023001101549

Leonardo Soto G

引用次数: 0

[Epidemiology and Mortality in Hip Fractures: Impact of Surgical Latency in a Cohort from a Public Hospital in Chile]. [髋部骨折的流行病学和死亡率：智利一家公立医院队列中手术延迟的影响]。

Revista medica de Chile Pub Date : 2023-11-01 DOI: 10.4067/s0034-98872023001101456

Rodrigo Guiloff, Carlos Valderrama, Diego Edwards, Martín Contreras, Alex Vaisman

{"title":"[Epidemiology and Mortality in Hip Fractures: Impact of Surgical Latency in a Cohort from a Public Hospital in Chile].","authors":"Rodrigo Guiloff, Carlos Valderrama, Diego Edwards, Martín Contreras, Alex Vaisman","doi":"10.4067/s0034-98872023001101456","DOIUrl":"https://doi.org/10.4067/s0034-98872023001101456","url":null,"abstract":"Aim: Describe the epidemiology and mortality in hip fractures and their relationship with surgical latency.Methods: Retrospective study of patients with hip fracture, operated in a center between 2009-2016. Non-operated patients, periprosthetic fractures, and stress fractures were excluded. Patients were stratified into three groups according to their surgical latency in days (Group 1: < 2 days; Group 2: 2-7 days; Group 3: > 7 days). The mortality rate was calculated at 6, 12, and 24 months of follow-up and extrapolated to 96 months for statistical analysis using Cox regression (p < 0.05).Results: Seven hundred and thirty-three patients were included with an average age of 75.3 years (17 to101 years), 71.4% were women, and 62.2% of the fractures were extracapsular. Group 1: n = 171 (23.3%). Mortality at 6, 12 and 24 months: 10.5%, 14.6%, 21.6%. Group 2: n = 436 (59.5%). Mortality at 6, 12 and 24 months: 14.0%, 20.2%, 27.3%. Group 3: n = 113 (17.2%). Mortality at 6, 12 and 24 months: 28.6%, 39.7%, 51.6%. Group 3 showed a 2.49 times higher risk (p = 0.01) of long-term mortality compared to Group 1, while Group 2 had a 1.31 times higher risk than Group 1 (p = 0.05). Age and gender demonstrated a significant association with long-term mortality (p = 0.01).Conclusion: Most of the hip fractures were extracapsular, in elderly and female patients. Surgical latency exhibited a significant and directly proportional relationship with mortality. Furthermore, male gender and older age at the time of fracture were factors associated with increased long-term mortality.","PeriodicalId":101370,"journal":{"name":"Revista medica de Chile","volume":"151 11","pages":"1456-1463"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142305528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Fish tank granuloma not associated to Mycobacterium marinum but to Microbacterium paraoxydans. 鱼缸肉芽肿与海洋分枝杆菌（Mycobacterium marinum）无关，而是与副氧单胞菌（Microbacterium paraoxydans）有关。

Revista medica de Chile Pub Date : 2023-11-01 DOI: 10.4067/s0034-98872023001101538

Alberto Fica, Alejandra Kutscher, Carla Lillo, Gabriela Bustamante, Javier Olmos, Jorge Hernández, Juan Vargas

引用次数: 0

[High Frequency of Mesenteric Panniculitis in Non-Hodgkin Lymphoma and Prostate Cancer: Study in 1,500 Oncologic Patients Undergoing Staging]. [非霍奇金淋巴瘤和前列腺癌肠系膜泛发性炎发病率高：对1500名接受分期的肿瘤患者的研究]。

Revista medica de Chile Pub Date : 2023-11-01 DOI: 10.4067/s0034-98872023001101483

David Ladrón de Guevara H, Emily Godoy L, Felipe Zumaeta V, Carolina Guzmán P, Mirna AviléS G

{"title":"[High Frequency of Mesenteric Panniculitis in Non-Hodgkin Lymphoma and Prostate Cancer: Study in 1,500 Oncologic Patients Undergoing Staging].","authors":"David Ladrón de Guevara H, Emily Godoy L, Felipe Zumaeta V, Carolina Guzmán P, Mirna AviléS G","doi":"10.4067/s0034-98872023001101483","DOIUrl":"https://doi.org/10.4067/s0034-98872023001101483","url":null,"abstract":"Mesenteric panniculitis (MP) is an uncommon, benign, condition that involves the mesenteric root. It may be idiopathic, or be associated with an inflammatory or malignant neoplasm.Aim: To establish the frequency of MP in oncologic patients according to the type of cancer.Method: Images of PET/CT performed between January 2008 and December 2019 on recently diagnosed oncologic patients were reviewed searching for MP. MP was defined as increased density and volume of mesenteric root fat, associated with nodules and/or lymph nodes, with or without pseudocapsule. Patients who had received previous cancer treatment or those with synchronous or metachronous malignancies were excluded.Results: The frequency of MP in the total oncologic population was 5,3 % (82/1539). Types of cancer frequently associated with MP were non-Hodgkin lymphoma at 15,9% (31/195) and prostate cancer at 11,9% (16/134), both significantly higher than the rest of the malignancies (p < 0,01). Hodgkin Lymphoma (0/59), carcinoma of the cervix (0/45), and endometrial cancer (0/44) did not show MP.Conclusion: MP is more frequently associated with some malignant neoplasms, such as non-Hodgkin lymphoma and prostate cancer, and rare in others. This must be considered when studying patients with MP detected incidentally.","PeriodicalId":101370,"journal":{"name":"Revista medica de Chile","volume":"151 11","pages":"1483-1489"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142305529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Biopsychosocial Factors Influencing Mortality and Functional Recovery in COVID-19 Patients Undergoing Prone Positioning: A Prospective Observational Study]. [影响接受俯卧位治疗的 COVID-19 患者死亡率和功能恢复的生物心理社会因素：前瞻性观察研究]。

Revista medica de Chile Pub Date : 2023-11-01 DOI: 10.4067/s0034-98872023001101427

Fabrizio Acevedo P, José M Aravena C, Felipe Ceballos V, María Paz Guzmán S, María José Maldonado M, Cristabel Torrealba G, Andrea Duarte M, Nicolas Henríquez V, Karen Torrealba R, Francisca Necuñir G, Javiera Arias V, Adolfo Frei H, Isidora Pérez R

{"title":"[Biopsychosocial Factors Influencing Mortality and Functional Recovery in COVID-19 Patients Undergoing Prone Positioning: A Prospective Observational Study].","authors":"Fabrizio Acevedo P, José M Aravena C, Felipe Ceballos V, María Paz Guzmán S, María José Maldonado M, Cristabel Torrealba G, Andrea Duarte M, Nicolas Henríquez V, Karen Torrealba R, Francisca Necuñir G, Javiera Arias V, Adolfo Frei H, Isidora Pérez R","doi":"10.4067/s0034-98872023001101427","DOIUrl":"10.4067/s0034-98872023001101427","url":null,"abstract":"Patients placed in a prone position due to COVID-19 present a more severe disease, longer stay in ICU and have more significant complications associated with positioning than other patients.Aim: To identify social, health, and hospital factors associated with mortality and functional recovery in activities of daily living (ADL) in patients admitted to the ICU due to COVID-19 who were in the prone position.Methods: We conducted a prospective observational study between June 2021 and March 2022 at the San José Clinical Hospital. The study included people 18 years of age or older admitted to the ICU due to COVID-19 who were in the prone position. Using logistic regression, we searched for factors associated with the risk of in-hospital mortality. Using linear regression, we also analyzed factors associated with functional recovery in ADL at discharge and post-discharge.Results: In 85 patients included, being men, older age, history of mental health, cardiorespiratory disease, and living in a commune of high social priority were associated with a higher risk of in-hospital mortality. A greater number of days of hospitalization was associated with less functional recovery at discharge and post-discharge. In contrast, more cycles in prone position during hospitalization and higher education level were associated with greater post-discharge functional recovery.Conclusions: The survival and functional prognosis of patients with severe COVID-19 can be predicted early through a biopsychosocial evaluation of their characteristics. Intrahospital actions could improve functional recovery in ADL in the short term in critically ill patients surviving COVID-19.","PeriodicalId":101370,"journal":{"name":"Revista medica de Chile","volume":"151 11","pages":"1427-1436"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142305524","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Intervention fo Effective Development od Self-Care in Heralth Students: a Scoping Review]. [干预措施促进健康学生自我保健能力的有效发展：范围研究]。

Revista medica de Chile Pub Date : 2023-11-01 DOI: 10.4067/s0034-98872023001101513

Cynthia Rojas-Muñoz, Daniel Lavín-Maggi, Lili Moraga Uribe, Klaus Puschel Illanes

{"title":"[Intervention fo Effective Development od Self-Care in Heralth Students: a Scoping Review].","authors":"Cynthia Rojas-Muñoz, Daniel Lavín-Maggi, Lili Moraga Uribe, Klaus Puschel Illanes","doi":"10.4067/s0034-98872023001101513","DOIUrl":"https://doi.org/10.4067/s0034-98872023001101513","url":null,"abstract":"Background: Self-care is a central element in the training of health students. The lack of effective strategies to develop it is associated with a 50% prevalence of burnout in this population.Aim: Identify and analyze effective strategies for self-care assessment and intervention in health students.Methodology: We developed a systematized scoping review using standardized methods to assess quality using the Scale for the Assessment of Narrative Review Articles. The Critical Appraisal Skills Programme was used for the thematic analysis. Four sources of information were explored including Pubmed, Google Scholar, Epistemónikos and Lilacs as well as gray literature. Two independent reviewers reviewed each publication and one expert defined controversies.Results: A total of 1682 articles were identified, of which 33 were selected. The average quality of the reviewed articles was 13 points [6-14]. The thematic analysis identified two groups. First, self-care assessment studies (N = 12) highlighting the World Health Organization Quality-of-Life Scale (WHOQOL-BREF) and the Health Promoting Lifestyle Profile II (HPLP-II); and second effective intervention study highlighting four strategies: mindfulness (N = 14); group interventions (N = 8); mentoring (N = 2); and curricular interventions (N = 4).Conclusion: There are a variety of effective strategies to assess and promote self-care in health students. The studies we found stand out for being of good quality and applicable to the different study plans.","PeriodicalId":101370,"journal":{"name":"Revista medica de Chile","volume":"151 11","pages":"1513-1525"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142305530","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Recommendations about the Programming of Medical Activities in Medical Oncology of the Chilean Society of Medical Oncology]. [关于智利肿瘤内科学会肿瘤内科医疗活动计划编制的建议]。

Revista medica de Chile Pub Date : 2023-11-01 DOI: 10.4067/s0034-98872023001101526

Elizabeth Milla, Rodrigo Bertin, Jorge Madrid, Luis Villanueva, Mauricio Mahave, Olga Barajas, Marcela Berrios, Bettina Müller

{"title":"[Recommendations about the Programming of Medical Activities in Medical Oncology of the Chilean Society of Medical Oncology].","authors":"Elizabeth Milla, Rodrigo Bertin, Jorge Madrid, Luis Villanueva, Mauricio Mahave, Olga Barajas, Marcela Berrios, Bettina Müller","doi":"10.4067/s0034-98872023001101526","DOIUrl":"https://doi.org/10.4067/s0034-98872023001101526","url":null,"abstract":"The incidence of cancer is increasing, which translates into a higher demand for medical oncology services every day. Work overload and, consequently, the development of burnout is present in up to 50% of medical oncology staff.Aim: The objective of this publication is to expose the current situation and to establish recommendations for the scheduling of the medical activities in medical oncology considering the different types of care delivery and the necessary time for these to improve patient care while protecting the physician wellbeing.Materials and methods: A review of the national and international literature was carried out regarding the scheduling of medical oncology care, and a web seminar was held with national medical specialists in oncology.Results: We were able to show that there are no standard schedules, and there is a great dispersion in the number of patients treated in the different centers at the national level.Conclusion: The Chilean Society for Medical Oncology considers essential to standardize medical programming in the different oncology services, in order to assure the best care for cancer patients and to protect the medical personnel from work overload.","PeriodicalId":101370,"journal":{"name":"Revista medica de Chile","volume":"151 11","pages":"1526-1531"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142305533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Associations Between Muscle Mass Levels and Functional Aspects in Non-Institutionalized Older Adults from Santiago, Chile]. [智利圣地亚哥非养老院老年人肌肉质量水平与功能方面的关系]。

Revista medica de Chile Pub Date : 2023-11-01 DOI: 10.4067/s0034-98872023001101471

Mauricio Lorca N, Esperanza Araya O, Cristóbal Daniel D, Ricardo Arteaga S

{"title":"[Associations Between Muscle Mass Levels and Functional Aspects in Non-Institutionalized Older Adults from Santiago, Chile].","authors":"Mauricio Lorca N, Esperanza Araya O, Cristóbal Daniel D, Ricardo Arteaga S","doi":"10.4067/s0034-98872023001101471","DOIUrl":"https://doi.org/10.4067/s0034-98872023001101471","url":null,"abstract":"Aim: To determine the relationship between the apendicular skeletal muscle mass and functional levels in non-institutionalized older adults in Santiago de Chile.Methodology: This is a quantitative, non-experimental, descriptive correlational, cross-sectional study of 59 older adults (13 men and 46 women) who live in the community, particularly in Santiago, Chile. The muscle mass was estimated through anthropometric values and a predictive, validated equation for calculating Skeletal Appendicular Muscle Mass (MMAE). Functionality was evaluated through the Functional Assessment of the Elderly (EFAM) instrument, used by the Ministry of Health of Chile since 1999.Results: The comparison of means of the MMAE values was higher in men (13.73 vs. 20.74; α: 0.05). This difference was also observed in its minimum, maximum, and variability. In the sample, A higher percentage of subjects were at risk of dependency or self-reliant without risk. Both sexes behave similarly; however, proportionally, women are more self-reliant without risk. A chi-square test showed no dependency relationship between functionality and sex (α: 0.05). A similar result was obtained regarding the MMAE and Functionality relationship (α: 0.05).Conclusions: In the present sample, there was no significant direct linear correlation between the amount of MMAE and Functionality.","PeriodicalId":101370,"journal":{"name":"Revista medica de Chile","volume":"151 11","pages":"1471-1482"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142305522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Remote simulation with simulated patient: Initial clinical learning experience in medical students]. [带模拟病人的远程模拟：医科学生的初步临床学习经验]。

Revista medica de Chile Pub Date : 2023-11-01 DOI: 10.4067/s0034-98872023001101446

Jessica Godoy-Pozo, Mónica Illesca Pretty, Alejandra Vidal Villa, Gustavo Sanhueza Ríos, Jorge Hidalgo Godoy, Fredy Seguel Palma, Sergio Mellado Cofré

{"title":"[Remote simulation with simulated patient: Initial clinical learning experience in medical students].","authors":"Jessica Godoy-Pozo, Mónica Illesca Pretty, Alejandra Vidal Villa, Gustavo Sanhueza Ríos, Jorge Hidalgo Godoy, Fredy Seguel Palma, Sergio Mellado Cofré","doi":"10.4067/s0034-98872023001101446","DOIUrl":"https://doi.org/10.4067/s0034-98872023001101446","url":null,"abstract":"Aim: To contribute to the development of disciplinary and generic competencies of medical students at Universidad Austral de Chile. through the incorporation of student- centered educational didactics such as remote simulation with a simulated patient (SP).Material and method: Quantitative, cross-sectional and descriptive research. Non-probabilistic sample included 68 third-year medical students who played two roles: interviewer and evaluator/observer. An instrument adapted from a satisfaction survey was used, applying it at the end of the experience in an anonymous and voluntary digital format (Google Forms). This tool covered 4 areas: Organization, Methodology, Self-assessment, and Evaluation of teaching performance, with closed Likert-type questions of five ordinal categories, two dichotomous questions (yes/no), and 4 open questions. The quantitative analysis was carried out using the SPSS program, and the qualitative one (open questions) with a progressive reduction scheme through three levels. Confidentiality and the fictional contract were protected with signature.Results: The educational experience was very well valued by the students. Similar tendencies were showed in the perception of simulation among the groups that performed the roles of interviewer and evaluator/observer.Conclusions: It is essential to incorporate this type of educational experience into the medical curriculum, since it constitutes a valuable contribution to the development of competencies, through experiential learning, connecting the student with reality, with their emotions, knowledge, and abilities. This approach promotes empathy and communication skills, promoting reflection and self-criticism.","PeriodicalId":101370,"journal":{"name":"Revista medica de Chile","volume":"151 11","pages":"1446-1455"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142305534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Disappearing bone disease of the shoulder (Gorham-Stout Syndrom)]. [肩部消失性骨病（戈勒姆-斯托特综合征）]。

Revista medica de Chile Pub Date : 2023-11-01 DOI: 10.4067/s0034-98872023001101542

María Soledad Urquieta, Miguel Gutiérrez, Javiera Arancibia, Harold Reid, Cristóbal Acuña, Mauricio Oyarzo, Mario Santamarina, Jorge Vega

引用次数: 0